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Mrs. Patrice Vivien Tillman, RN,MSN
Adult Psychiatric/Mental Health Registered Nurse in Lawrenceville, Georgia
NPI 1992852123

Patrice Vivien Tillman is an Adult Psychiatric/Mental Health Registered Nurse based in Lawrenceville, GA and is specialized in Psychiatric/Mental Health, Adult. Patrice Vivien Tillman practices in Lawrenceville, GA and has the professional credentials of RN,MSN. The NPI Number for Patrice Vivien Tillman is 1992852123 and holds a License No. RN058224 (Georgia).

The current practice location address for Patrice Vivien Tillman is 175 Gwinnett Dr, Lawrenceville, GA and can be reached out via phone at 770-339-5000 and via fax at 770-822-1698. You can also correspond with Patrice Vivien Tillman through the mailing address at 175 GWINNETT DR, LAWRENCEVILLE, GA - 30045-8444 (mailing address contact number: 770-339-5000).

Location: 175 Gwinnett Dr, Lawrenceville, GA, 30045-8444
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Provider Profile Details
NPI Number
1992852123
Provider Name
Patrice Vivien Tillman
Credential
RN,MSN
Provider Entity Type
Individual
Gender
Female
Address
175 Gwinnett Dr, Lawrenceville, GA, 30045-8444
Phone Number
770-339-5000
Fax Number
770-822-1698
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN058224 01 GA RN LIC.
institution
Provider Business Practice Location Address Details
Address
175 Gwinnett Dr
City
State
Zip
30045-8444
Phone Number
770-339-5000
Fax Number
770-822-1698
person
Provider Business Mailing Address Details
Address
175 Gwinnett Dr
City
State
Zip
30045-8444
Phone Number
770-339-5000
Fax Number
770-822-1698
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
RN058224 (Georgia)
Definition
Definition to come...
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